Provider Demographics
NPI:1407207731
Name:REDDY, NIYOTI (MD)
Entity Type:Individual
Prefix:DR
First Name:NIYOTI
Middle Name:
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 STANIFORD ST STE 430
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2541
Mailing Address - Country:US
Mailing Address - Phone:617-726-4400
Mailing Address - Fax:
Practice Address - Street 1:50 STANIFORD ST STE 430
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2541
Practice Address - Country:US
Practice Address - Phone:617-726-4400
Practice Address - Fax:617-724-6565
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA267440207R00000X, 207RB0002X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine